脑卒中二级预防行为干预效果评价  

Evaluation of effect of behavioral intervention of secondary prevention on stroke

作　　者：叶凤英[1] 艾桂君[1] 王晓华[1] 刘晓明[1] 

机构地区：[1]河北省秦皇岛市第二医院护理部,066600

出　　处：《中国实用护理杂志（中旬版）》2008年第6期17-18,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨脑卒中二级预防行为干预的实施效果。方法将204例脑卒中患者随机分为观察组和对照组各102例。2组均建立健康档案，应用自行设计的脑卒中复发危险因素评估表对出院患者进行评估。观察组根据评估结果进行个体化强化教育和行为干预，对照组实施常规治疗和健康教育。分别在于预前和干预后第3、6个月收集2组相关资料，比较2组患者遵医服药、肢体康复训练、不良生活方式的改变情况及定期复诊和脑卒中复发率。结果观察组患者在疾病知识掌握正确率、不良生活方式改善情况及治疗依从性方面显著高于对照组（P〈0．01）。观察组脑卒中复发率显著低于对照组（P（0．05）。结论二级预防行为下预可有效降低脑卒中复发，提高患者的生活质量。Objective The purpose of this study was to describe the effect of behavioral intervention of secondary prevention on stroke. Methods 204 patients with stroke were divided into the observation group and the control group with 102 patients in each group at random. The health records were set up and self-designed scale for assessment of risk factors of recurrence of stroke was used to assess the patients＇ general conditions.Individual intensified education and behavior intervention were adopted in the observation group.Routine treatment and health education were used in the control group. The collected data before intervention,the third and 6th month after intervention were evaluated.The medication compliance,limbs rehabilitation exercises,bad living style, coming to hospital at regular intervals and recurrence rate of stroke were compared between the two groups. Results The observation group was superior to the control group in the following aspects,the mastering rate of disease knowledge, changes in bad living style and therapy compliance （P 〈 0.01）. Conclusions Behavioral intervention of secondary prevention could effectively reduce the recurrence of stroke and improve the living quality of patients.

关 键 词：脑卒中 二级预防 行为干预 

分 类 号：R473.74[医药卫生—护理学] R541.4[医药卫生—临床医学]